Cora Smith RICHARDS

death certificate received January 2003 died at Medical Arts Hospital in Dallas, TX Cora Richards Ahlf female, white, widowed, 90 at death, Father's name: James Henry Smith Mother's name: Catherine Annie Schock lived in Dallas, TX about 2 years at time of death cause of death: uremia Mrs Marshal Morris was the informant of the death Cora was Rudolph's second wife. was married to Rudolph when? From webmd.com: uremia Miller-Keane Medical Dictionary, 2000 (u-re©Ø me-ah) 1. an excess in the blood of urea, creatinine, and other nitrogenous end products of protein and amino acid metabolism; more correctly referred to as "azotemia" AZOTEMIA. 2. in current usage, the entire complex of signs and symptoms of chronic "renal failure" RENAL FAILURE. As the glomerular filtration rate falls in either acute tubular necrosis or chronic renal failure, serum urea (usually expressed as blood urea nitrogen content, BUN) and creatinine rise to very high levels. However, BUN and creatinine measurements are only roughly correlated with uremic symptoms. Other nitrogenous compounds present in small amounts may produce most of the toxic effects. Some uremic symptoms are due to losses of kidney function that do not involve azotemia. adj., ure©Ø mic. PATIENT CARE. A major activity of care is assessment of health status and learning needs on an ongoing basis throughout the course of the illness. The systemic effects of uremia involve virtually every system of the body and present problems related to dysfunction of each system. Maintaining adequate nutrition is a very real challenge for the patient with azotemia. The cooperative efforts of nutritionists and other health care professionals are needed to meet the goals of minimizing uremic toxicity, maintaining acceptable electrolyte levels, controlling hypertension, providing sufficient calories, and maintaining adequate nutritional status. Because of buildup of nitrogenous wastes from protein metabolism, dietary intake of protein may be severely limited. If any protein foods are allowed they should be of high quality; for example, eggs, milk, and cheese provide all of the essential amino acids in relatively small quantities. Potassium restriction may also be indicated because of inability of the kidney to excrete it. This complicates the problem, however, because foods rich in potassium also are high-quality protein foods. These same foods also contain phosphorus, which may be restricted. A sodium-free diet usually is prescribed, but this can pose problems in regard to food selection and patient compliance.

Comments